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识别糖尿病患者的关键管理方面:一项定性研究

Identifying the critical management aspects for diabetic patients A qualitative study.

作者信息

Falahati Farshad, Alimohammadzadeh Khalil, Hosseini Seyed Mojtaba, Maher Ali, Jafari Mehrnoosh

机构信息

Department of Health Services Management, North Tehran Branch, Islamic Azad University, Tehran, Iran.

Department of Health Services Management, North Tehran Branch, Islamic Azad University, Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

J Educ Health Promot. 2025 Jan 31;14:5. doi: 10.4103/jehp.jehp_1183_23. eCollection 2025.

Abstract

BACKGROUND

Health leaders globally, especially those in Iran, bear the significant responsibility of ensuring healthcare quality for individuals with diabetes. As a result, conducting comprehensive studies to gain insights into various aspects of diabetes management and developing research-based models and strategies to improve the quantity and quality of services is crucial. This study aims to create a management model for delivering services to diabetic patients within the Iranian healthcare system.

MATERIALS AND METHODS

This research adopts a qualitative-quantitative approach, utilizing multiple techniques to support the study's findings. An 18-month prolonged engagement period, from July 2021 to November 2022, was established with participants, data, and stakeholders. To ensure questionnaire validity and reliability, SPSS software was employed for Cronbach's alpha, CVI, and CVR indices. Model validation was conducted through confirmatory factor analysis using Lisrel software version 8.8, with the chi-square test confirming the model.

RESULTS

Our research indicates that effective management of diabetic patients relies on responsive leadership, characterized by vigilant monitoring and meticulous organization. The practical application of responsive leadership in diabetes management within workplace conditions involves two key resources: human resources and financial resources, along with proficient management of information and medical technology.

CONCLUSION

The study's findings highlight the crucial role of influential responsive leaders in providing essential financial support to enhance diabetes care in healthcare organizations. Moreover, initiatives are needed to motivate managers and healthcare professionals to operate efficiently. Thus, the commitment to improving the quality of patient care must be deeply embedded in the organizational culture.

摘要

背景

全球的卫生领导者,尤其是伊朗的卫生领导者,肩负着确保糖尿病患者医疗质量的重大责任。因此,开展全面研究以深入了解糖尿病管理的各个方面,并制定基于研究的模式和策略来提高服务的数量和质量至关重要。本研究旨在创建一个在伊朗医疗系统中为糖尿病患者提供服务的管理模式。

材料与方法

本研究采用定性 - 定量方法,运用多种技术来支持研究结果。从2021年7月到2022年11月,与参与者、数据和利益相关者建立了为期188个月的长期参与期。为确保问卷的有效性和可靠性,使用SPSS软件计算Cronbach's alpha、CVI和CVR指数。通过使用Lisrel软件版本8.8进行验证性因子分析来进行模型验证,卡方检验证实了该模型。

结果

我们的研究表明,糖尿病患者的有效管理依赖于响应式领导,其特点是 vigilant monitoring(警觉的监测)和细致的组织。响应式领导在工作场所条件下糖尿病管理中的实际应用涉及两种关键资源:人力资源和财务资源,以及对信息和医疗技术的熟练管理。

结论

该研究结果强调了有影响力的响应式领导者在提供必要财务支持以加强医疗机构糖尿病护理方面的关键作用。此外,需要采取举措激励管理者和医疗专业人员高效运作。因此,提高患者护理质量的承诺必须深深融入组织文化中。 (注:“vigilant monitoring”原文未翻译完整,可能是笔误,推测完整应为“警惕的监测”之类的表述)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5607/11913188/ae90c2814e3d/JEHP-14-5-g001.jpg

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